A
Adrenal Cortex secretes these 3 hormones.
What are: Glucocorticoids, Mineralocorticoids, and Androgens
This effect of the signal between the pituitary gland and its target organs causes the signal to decrease this is known as....
What is negative feedback?
These levels are elevated and the pituitary stops secreting the thyroid stimulating hormone in response to these rising levels (negative feedback).
What are T3 and T4?
Hyperthyroidism
These two methods check for increasing hypocalcemia, name them and how you check.
What is Chvostek sign ( tapping on facial nerve at angle of the jaw) and (Trousseau's sign (inflation of BP cuff on upper arm exceeding systolic BP for 3 minutes causes carpal spasm).
Follow this type of diet and avoid these in hyperparathyroidism.
What is low calcium diet (dairy) and avoid antacids.
Because overactive parathyroid glands already cause excessively high amounts of blood calcium levels (hypercalcemia).
Name the 3 P's of diabetes.
What are polyuria, polyphagia and polydipsia?
It secretes catecholamines, including epinephrine and norepinephrine in response to stimulation by the sympathetic nervous system (fight or flight).
What is the Adrenal Medulla?
This effect of the signal between the pituitary gland and its target organs causes the signal to increase this is known as....
What is positive feedback?
Intolerance to heat, bulging eyes (exophthalmos), clubbing of fingers, tachycardia, weight loss and usually caused by Graves' Disease.
What is hyperthyroidism?
This medication blocks release of thyroid hormone.
What is potassium Iodide?
Clinical manifestations of this disease include moon face, buffalo hump, hypokalemia and hyperglycemia, osteoporosis, increased risk of infection, and mood and neurological changes (irritability, anxiety, insomnia).
What is Cushing's Syndrome?
Lispro: Humalog has an onset of_______ and a peak of__________.
What is 10-30 minutes and 30 min to 3 hours?
This hormone is the main glucocorticoid, is anti-inflammatory, involved in glucose metabolism, provides energy during stress.
What is Cortisol?
This disease is caused by inappropriate production of somatotropin (GH) after puberty caused by a pituitary tumor and the changes it produces are irreversible.
What is Acromegaly?
Usually begins in 30/40's, Facial changes, large hands and feet, muscle weakness, masculinization in women (deep voice, amenorrhea, increased hair), heart failure.
Name 3 nursing interventions for (SIADH) Syndrome of Inappropriate Antidiuretic Hormone include:
What are maintain fluid restrictions, avoid anxiety (relaxing environment), frequent neuro and hydration assessments (DTR, LOC, presence of tremors, gait movement).
Intolerance to cold, hair loss, facial and eyelid edema, extreme fatigue, anorexia, muscle aches and weakness, constipation are all s/s of this condition:
What is hypothyroidism?
Number one nursing intervention when caring for a patient with Addison's disease.
What is fall precautions due to orthostatic hypotension?
Adrenal insufficiency primarily caused by aldosterone deficiency leading to sodium loss and dehydration, along with cortisol deficiency which reduces vascular tone and responsiveness to noradrenaline.
Hypoglycemia is characterized by BG less than ______ and name 3 signs and symptoms of hypoglycemia.
What is less than 50 and
faintness, weakness, diaphoresis, irritability, hungar palpations, tremors, drowsiness, confusion.
Name 3 hormones produced by the anterior pituitary gland also known as the "Master Gland".
What are: Somatotropin/Growth Hormone GH,
Adrenocorticotropic Hormone ACTH,
Thyroid Stimulating Hormone TSH, Follicle Stimulating Hormone, FSH, Luteinizing Hormone LH (releases egg), and Prolactin (Produces Milk).
This disease causes polyuria (5-20 liters in 24 hrs), polydipsia, severe dehydration, hypernatremia, hypotension, weak and exhausted, and at risk for hypovolemic shock.
What is Diabetes Insipidus?
This is the Gold Standard in treating hyperthyroidism.
What is radioactive iodine used to destroy the thyroid tissue?
After treatment pregnant nurses cannot treat patient for 3 days.
Nausea and vomiting, sever tachycardia, Sever HTN, fever, extreme restlessness, dysrhythmias, and delirium.
What is thyroid storm?
This crisis can cause heart failure.
Name 4 chronic complications of diabetes.
What is blindness, diabetic neuropathy, cardiovascular disease and renal failure?
In this condition patient's breath smells fruity, they are tachycardic, hypotensive, acidotic, vomiting, weakness/sleepy, dry and flushed skin.
What is Diabetic Ketoacidosis (DKA)?
BG usually greater that 250 -300 mg/dl
In the Posterior Pituitary Gland these hormones are produced by the Hypothalmus.
What are: Oxytocin (secrete milk, contract uterus, and ADH/Vasopressin (retain water, constrict arteries).
This drug is a synthetic ADH and used in the medical management of Diabetes Insipidus.
What is Desmopressin (DDAVP)?
Increases water reabsorption in the kidneys
Common S/E: HA, nausea, and hyponatremia.
Tetany in post-thyroidectomy can cause this life threatening condition.
What is laryngospasm?
Cuts off airway, and if the patient develops stridor, it means the airway is closing.
Keep tracheotomy tray at bedside and ensure suction is set up at bedside.
Number one symptom of Hyperparathyroiism.
What is Nephrolithiasis?
AKA as kidney stones is the formation of hard crystalline mineral deposits in the kidneys, often causing severe pain, nausea and hematuria when passing through the urinary tract.
When do you give glargine (lantus) and how long does it last?
What is bedtime and 24+ hours?
Characterized by very high BG levels (greater than 600), dehydration, lethargy, temp. elevation, decreased BP, hot and dry skin and mucous membranes, 3 P's, no ketonuria and treated with IV insulin and IV fluids.
What is Hyperglycemic Hyperosmolar Nonketotic Coma (AKA HHNS)?
BG > 600 mg/dl